NPI | 1659783199 |
---|---|
Former Name | BRITTANY MCNEILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0058151) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.064702) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2020-01-27 |